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Active Life Medical Management
Oxygen Equipment & Supplies (DME) in Alexandria, Louisiana
NPI 1134507908

Active Life Medical Management is a Oxygen Equipment & Supplies (DME) based in Yuba City, LA and is specialized in Oxygen Equipment & Supplies. Active Life Medical Management practices in Alexandria, LA. The NPI Number for Active Life Medical Management is 1134507908 and holds a License No. (Louisiana).

The current practice location address for Active Life Medical Management is 4501 Jackson St, Alexandria, LA and can be reached out via phone at 318-442-2200 and via fax at 318-442-2208.

Location: 4501 Jackson St, Alexandria, LA, 95992-0586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134507908
Provider Name
Active Life Medical Management
Credential
Provider Entity Type
Organization
Address
4501 Jackson St, Alexandria, LA, 95992-0586
Phone Number
318-442-2200
Fax Number
318-442-2208
Provider Enumeration Date
05/13/2015
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DME000481 01 LA LA PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
4501 Jackson St
City
Alexandria
State
Louisiana
Zip
71303-2555
Phone Number
318-442-2200
Fax Number
318-442-2208
person
Provider Business Mailing Address Details
Address
4501 Jackson St
City
Alexandria
State
Louisiana
Zip
71303-2555
Phone Number
318-442-2200
Fax Number
318-442-2208
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
DME000481 (Louisiana)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
DME000481 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
DME000481 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
DME000481 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
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